Louis P. Bucky, MD, FACS
Award-Winning, World-Renowned Plastic Surgeon
Premiere Destination for Finest Injectables & Skin Care
EVEBRA®
EVEBRA is a revolutionary device that uses external suction to gradually expand breast skin and/or tissues prior to procedures involving large-volume fat transfer. As a result of this expansion process, blood supply and a variety of other growth factors increase within the breast, helping the recipient site more reliably accommodate newly-transferred fat. These unique advantages permit Philadelphia plastic surgeon Dr. Louis Bucky, to use larger quantities of fat in order to achieve greater volume and fullness for the breasts during natural breast augmentation, breast revision, and breast reconstruction procedures. Ultimately, the EVEBRA System can help Dr. Bucky’s patients achieve beautiful, natural-looking breast enhancement results, often without the need for implants.
How Does EVEBRA Work?
The EVEBRA (External Vacuum Expander (EVE) BRA) device consists of two silicone gel-rimmed domes placed over the breasts and held securely in position by a bra-like support system. Once situated, the EVEBRA system applies gentle pressure on the breasts through a process known as tissue expansion, often causing cells to produce new tissue and increase the overall size and shape of the breasts.
EVEBRA is the second generation of the popular BRAVA system for breast expansion, with added features. EVEBRA offers our patients advanced features and a more comfortable experience than BRAVA, as it is fitted with a comfortable silicone rim with soothing lubricating cream for less irritation and a better seal. EVEBRA also features an adjustable bra with traditional bra hooks (unlike the BRAVA zipper), so each patient finds the exact right fit for her body. With EVEBRA, patients wear a series of interchangeable domes, gradually increasing their breast size in a device that will never be much larger than their natural bra size.1
“One of the great advances which has made large volume fat grafting so successful is the use of EVEBRA®.” – Dr. Bucky
Using EVEBRA
After being measured and fitted for proper size, patients will typically be instructed to wear the EVEBRA system for 6 to 12 hours a day during the three weeks prior to their breast surgery. Throughout these daily sessions, the amount of suction applied by the device should be varied on an interval basis, ideally transitioning from a high level of suction to a low level of suction every 60 minutes. Dr. Bucky often recommends wearing the EVEBRA device at night as it may limit particular activities and ranges of motion while in use.
How Do We Use EVEBRA For Breast Surgery?
Cosmetic
EVEBRA can be an excellent presurgical expansion technique for patients interested in a breast augmentation or breast lift with fat grafting. By utilizing this innovative system prior to surgery, breast skin and tissues can be better prepared to accommodate a larger volume of fat transfer than ever before, ultimately helping to achieve a fuller, lifted, more natural look.
Reconstruction
Fat transfer can often improve the look and feel of reconstructed breasts, including breasts that have undergone lumpectomy. In these instances, EVEBRA may be used to create an ideal pocket size for the optimal volume of fat transfer.
Revision
In the past, when a patient had complications with an implant, the implant would simply be replaced in the hopes of achieving a better outcome. By utilizing EVEBRA prior to fat transfer, we are not only able to change the implant, but also the environment in which the implant is placed. Consequently, this often leads to more aesthetically-pleasing outcomes.
Contact Us
To learn more about EVEBRA, please contact us to schedule a consultation at Dr. Bucky’s Philadelphia plastic surgery practice.
1 EVEBRA patient information. Available: https://evebra.com/pages/brava-breast-enhancement-and-shaping-system#. Accessed June 5, 2024.
Dr. Bucky has either authored or reviewed and approved this content.
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